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1 ' <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BIJILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please priiit all infornzc�tion) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (crrcle one) OWNER OR CONTRACTOR <br /> JOB SITE ADllRESS: �jZ� C.�P.�(AhJ �,`7 ZIP: '��3� ( <br /> Will this be a P� de of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS NO lfyes, n special everrt peri�iit is i•eqatir•ed tivith Police Depnr�tmefad and City Coaaacil approval <br /> 60 days prior•to!he event. Slnrttle bus service will be reguir�ed unless applica��t deinonstrates <br /> sirff cient o�rsite parking is available. Non-perinitted events wifl not be allo��ved. <br /> NAME OF OWNER:��jj �� N�,U�� PHONE: (hom� ��- (_iz.?? <br /> (work)�E <br /> 1VIAILINGADDRESS: 3�.'Z.S Ct(�t�� CITY: Ut2a�.)C� ZIP: SS�I <br /> CONTRACTOR�,qyy� F' �;7-�- PHONE: (�5� �3(���„ <br /> CONTACT PERSON: G'�/q,(2.c� MOBILE/PAGER: � <br /> MAILING ADDRESS: �yGz�C`,�„�Q� -��r �CITY: �����- �.�-fl ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITEC'T/ENGINEER: P�IONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(desc�•ibe in detnin: ���,n�-� <br /> S'I'ORIES: S�.FEET OF�r�C�i FY,0012: <br /> N�. OF BED�ZOOIVIS: GARAGE S"�'�II,LS: A'�"TACHED D�TA�:Y��D <br /> ESTIIV�AT'EI)CONST'IZUC�ION VAL,iJA�'I01�1(excluding land): $ 1 Z,Qj�L <br /> I hereby apply for a building permit and 1 acicnowledae that the information above is complete and accurate; <br /> that the work wil) be in conformance with the ordinances and codes of the City and�vith the State Buildin� <br /> Code;that I understand this is not a permit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved �lan. <br /> r�PPLICANT'S SIGIdTATL'RE: � AT'E: �d'�o-4S <br /> 31 <br />